Emergency Evidence Updates – October 2023

Randomised Controlled Trials

Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage – The UK-REBOA Randomized Clinical Trial  JAMA

Impact on all-cause mortality of a case prediction and prevention intervention designed to reduce secondary care utilisation: findings from a randomised controlled trial  Emergency Medicine Journal

Point-of-care ultrasound-guided versus standard reduction of displaced distal radius fractures in the emergency department: a randomised controlled clinical trial  Emergency Medicine Journal

SPICED RCT: Success and Pain associated with Intravenous Cannulation in the Emergency Department Randomized Control Trial  The Journal of Emergency Medicine

The Effect of Stress Ball Use Applied by Emergency Nurses During Swabbing Procedure on the Pain and Fear Levels of Children Admitted to the Pediatric Emergency Service With the Suspicion of COVID-19: A Randomized Controlled Trial  Journal of Emergency Nursing

Ultrasound Directed Reduction of Colles’ type distal radial fractures in ED (UDiReCT): a feasibility randomised controlled trial  Emergency Medicine Journal



Acute respiratory infection in over 16s: initial assessment and management including virtual wards (hospital at home) QS210

Suspected acute respiratory infection in over 16s: assessment at first presentation and initial management NG237


Other Guidance/Reports

Definition of factor Xa inhibitor–related, life-threatening gastrointestinal bleeding and guidance on when to use reversal therapy: A Delphi panel  Journal of the American College of Emergency Physicians Open

Diagnosis and management of traumatic rectal injury: A Western Trauma Association critical decisions algorithm  The Journal of Trauma and Acute Care Surgery

Expert consensus on training and accreditation for extracorporeal cardiopulmonary resuscitation an international, multidisciplinary modified Delphi Study  Resuscitation

PIER Guidelines



Cerebrolysin for acute ischaemic stroke

Immediate versus delayed versus no antibiotics for respiratory infections

Primary Research


Assessment of frailty by paramedics using the clinical frailty scale – an inter-rater reliability and accuracy study  BMC Emergency Medicine

Can video communication in the emergency medical communication centre improve dispatch precision? A before-after study in Norwegian helicopter emergency medical services  BMJ Open

Competence of UK paramedics in performing standard paramedic skills  Journal of Paramedic Practice

Do EMS Physicians Delay On-Scene Times for HEMS Crews?  Prehospital Emergency Care

Does the Location of Endotracheal Intubation Affect the Success of Airway Management in a Helicopter Air Ambulance Service? A Simulation Study  Air Medical Journal

Factors Associated With Early Discharge in Pediatric Trauma Patients Transported by Rotor: A Retrospective Analysis  Air Medical Journal

Head injury in older adults presenting to the ambulance service: who do we convey to the emergency department, and what clinical variables are associated with an intracranial bleed? A retrospective case–control study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Impact of a ground intermediate transport from the helicopter landing site at a hospital on transport duration and patient safety  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Induction of pre-hospital emergency anaesthesia i-PHEA: a national survey of UK HEMS practice  BMC Emergency Medicine

Mass casualty triage: using virtual reality in hazardous area response teams training  Journal of Paramedic Practice

Overcoming distance: an exploration of current practices of government and charity-funded critical care transport and retrieval organizations  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Patient factors associated with conveyance decision-making by Emergency Medical Services professionals in patients with a syncope: a cross-sectional factorial survey design  BMC Emergency Medicine

Prehospital factors associated with out-of-hospital cardiac arrest outcomes in a metropolitan city: a 4-year multicenter study  BMC Emergency Medicine

Prehospital Management of Penetrating Neck Injuries: An Evaluation of Practice  Air Medical Journal

Prehospital tracheal intubations by anaesthetist-staffed critical care teams: a prospective observational multicentre study  British Journal of Anaesthesia

Raring to go? A cross-sectional survey of student paramedics on how well they perceive their UK pre-registration course to be preparing them to manage suspected seizures  BMC Emergency Medicine

Sky-High Safety? A Qualitative Study of Physicians’ Experiences of Patient Safety in Norwegian Helicopter Emergency Services  Journal of Patient Safety



A Nationwide Study of Emergency Nurses’ Triage Decisions for Potential Acute Coronary Syndrome  Journal of Emergency Nursing

A Qualitative Study of Racial, Ethnic, and Cultural Experiences of Minority Clinicians During Agitation Care in the Emergency Department  Annals of Emergency Medicine

Benchmarking blood culture quality in the emergency department: Contamination, single sets and positivity  Emergency Medicine Australasia

Changing culture: An intervention to improve blood culture quality in the emergency department  Emergency Medicine Australasia

Compass for antibiotic stewardship: using a digital tool to improve guideline adherence and drive clinician behaviour for appendicitis treatment in the emergency department  Emergency Medicine Journal

Frailty Knowledge, Use of Screening Tools, and Educational Challenges in Emergency Departments in Ireland: A Multisite Survey  Journal of Emergency Nursing

Left with a Sisyphean task – the experiences of nurse practitioners with treating non-suicidal self-injury in the emergency department: a descriptive qualitative study  BMC Emergency Medicine

Outcome of severely injured patients in a unique trauma system with 24/7 double trauma surgeon on-call service  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Teledermatology in an emergency department: benefits and gaps  BMC Emergency Medicine

Variability in Interpretation of Echocardiographic Signs of Tamponade: A Survey of Emergency Physician Sonographers  The Journal of Emergency Medicine

What impact would reducing low-acuity attendance have on emergency department length of stay? A discrete event simulation modelling study  Emergency Medicine Journal



Emergency department presentations for chest complaints after mRNA COVID-19 vaccinations in children and adolescents  Emergency Medicine Australasia

Factors contributing to uncertainty in paediatric abdominal ultrasound reports in the paediatric emergency department  BMC Emergency Medicine

Improving clinical competence with LGBTQ+ patients in the paediatric emergency department: an education intervention study  Archives of Disease in Childhood

Presence of alcohol and other drug use within youth mental health presentations to the emergency department: A single-site retrospective observational study  Emergency Medicine Australasia

Procedural sedation programme minimising adverse events: a 3-year experience from a tertiary paediatric emergency department  Archives of Disease in Childhood

Qualitative Point-of-Care Ultrasound Enema Management for Constipation  Pediatric Emergency Care

Risk Factors and Management Outcomes in Pediatric Epistaxis at an Emergency Department  The Journal of Emergency Medicine

Tracking Staff Mood and Concerns in a Pediatric Emergency Department During the COVID-19 Pandemic  Journal of Emergency Nursing



A Rare Case of Page Kidney in a Young Man with Flank pain  The Journal of Emergency Medicine

Age in addition to RETTS triage priority substantially improves 3-day mortality prediction in emergency department patients: a multi-center cohort study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

An evaluation of the NEWS2 and the laboratory data decision tree early warning score in predicting mortality in geriatric patients  The Journal of Emergency Medicine

Are there differences in the relationship between respiratory rate and oxygen saturation between patients with COVID-19 and those without COVID-19? Insights from a cohort-based correlational study  Emergency Medicine Journal

Developing an implementation intervention for managing acute vertigo in the emergency department  Emergency Medicine Journal

Do we need standardized management after termination-of-resuscitation attempts? Autoresuscitation in a 67-year-old woman  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Ebstein-Barr in a patient presenting with right upper quadrant pain- A case report from the emergency department  The Journal of Emergency Medicine

Establishing the core elements of a frailty at the front door model of care using a modified real-time Delphi technique  BMC Emergency Medicine

Incidental Diagnosis of Left Pneumothorax Using a New Variant of the Lung Point Sign during Cardiac Ultrasound  The Journal of Emergency Medicine

Is the clinical frailty scale feasible to use in an emergency department setting? A mixed methods study  BMC Emergency Medicine

Monocular Painless Partial Vision Loss: Multipurpose Utility of Point-of-Care Ultrasound in the Emergency Department  The Journal of Emergency Medicine

Multi-centric study for development and validation of a CT head rule for mild traumatic brain injury in direct oral anticoagulants: the HERO-M nomogram  BMC Emergency Medicine

Proarrhythmic changes in human cardiomyocytes during hypothermia by milrinone and isoprenaline, but not levosimendan: an experimental in vitro study  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Prospective study of pain and patient outcomes in the emergency department: a tale of two pain assessment methods  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

The heart has its reasons which reason knows not: a curious case of chest pain  The Journal of Emergency Medicine



Summary author: Rebecca Howes @ClinicalLibsPHU
Summary date:
Picture by: Ehimetalor Akhere Unuabona on Unsplash

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